Ani Assisted Living Facility Limited Liability Company

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANI ASSISTED LIVING FACILITY LIMITED LIABILITY COMPANY

Practice address

1145 Ranch Valley Dr
Desoto, TX 75115-3524

Phone

(972) 228-4100

Fax

(972) 228-4100

NPI assigned

Dec 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Oritsebemigho Edegbele

Title

Administrator

Phone

(972) 228-4100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1295070068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 RANCH VALLEY DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153524",
            "telephone_number": "972-228-4100",
            "fax_number": "972-228-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 RANCH VALLEY DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153524",
            "telephone_number": "972-228-4100",
            "fax_number": "972-228-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANI ASSISTED LIVING FACILITY LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "EDEGBELE",
        "authorized_official_first_name": "ORITSEBEMIGHO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-228-4100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Desoto, TX
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• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.